Ideal Home Care
NPI #1669689048 in Hawthorne, California
Provider Information
- NPI Number
- 1669689048
- Entity Type
- Organization
- Organization Name
- Ideal Home Care
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4830 W 130TH ST
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-5010
- Phone
- (310) 973-8266
Authorized Official
- Name
- EUGENE HARDIN, M.D.
- Title
- LICENSEE
- Phone
- (310) 739-3585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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